Individual
MRS. OLIVIA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3329 E PALM LN, PHOENIX, AZ 85008-2941
(602) 326-6155
Mailing address
3329 E PALM LN, PHOENIX, AZ 85008-2941
(602) 326-6155
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN184169
AZ
164W00000X
Licensed Practical Nurse
LP043138
AZ
Other
Enumeration date
08/27/2012
Last updated
09/17/2014
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